Active NPI
Thoracic and Vascular Surgeons of Gainesville, P.a.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gainesville, FL
National Provider Identifier
1134546542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME94028
- Legal business name
- THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.
- Practice address
- 1151 NW 64TH Ter
Gainesville, FL 32605-4218 - Phone
- (352) 331-8570
- Fax
- (352) 331-9095
- NPI assigned
- Mar 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard R Proia, MD
- Title
- President
- Phone
- (352) 416-2628
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME94028 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME94028 | FL | Primary |
Addresses
Primary practice location
1151 NW 64TH Ter
Gainesville, FL 32605-4218
Mailing address
PO Box 14655
Gainesville, FL 32604-4655
Phone (352) 331-9095
National Provider Directory
National Provider DirectoryLocations
1151 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-8570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507766400000",
"number": "1134546542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14655",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326044655",
"telephone_number": "352-331-9095",
"fax_number": "352-331-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 NW 64TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054218",
"telephone_number": "352-331-8570",
"fax_number": "352-331-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-24",
"last_updated": "2017-10-12",
"status": "A",
"authorized_official_last_name": "PROIA",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-416-2628",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME94028",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME94028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.